Fiebre persistente. ¡No olvides el hígado!

Aldara García-Sánchez; Carlos Mejía-Chew; Juan José Ríos-Blanco

doi:10.32818/reccmi.a1n1a10

Persistent fever. Don't forget the liver!

Authors

Aldara García-Sánchez Servicio de Medicina Interna, Hospital Univesitario La Paz, Madrid, Spain
Carlos Mejía-Chew Servicio de Medicina Interna, Hospital Univesitario La Paz, Madrid, Spain
Juan José Ríos-Blanco Servicio de Medicina Interna, Hospital Univesitario La Paz, Madrid, Spain

DOI:

https://doi.org/10.32818/reccmi.a1n1a10

Keywords:

Streptococcus intermedius, hepatic abscess, monoclonal gammopathy of undetermined significance, immunodeficiency

Abstract

We present the case of a 52-year-old immunocompetent male with a single hepatic abscess without evidence of a previous infection due to S. intermedius, usually part of the oropharyngeal, biliary and gastrointestinal flora, even in healthy patients.

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References

Chua D, Reinhart HH, Sobel JD. Liver abscess caused by Streptococcus milleri. J Clin Microbiol. 1990; 1497-501.

Wagner KW, Schön R, Schumacher M, Schmelzeisen R, Schulze D. Case report: brain and liver abscesses caused by oral infection with Streptococcus intermedius. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 21-3.

Millichap JJ, McKendrick AI, Drelichman VS. Streptococcus intermedius liver abscesses and colon cancer. West Indian Med J. 2005; 54: 341-2.

Gregersen H, Madsen KM, Sorensen HT, Schonheyder HC, Ibsen JS, Dahlerup JF. The risk of bacteremia in patients with monoclonal gammo-pathy of undetermined significance. Eur J Haematol. 1998; 61: 140-4.

Kristinsson SY, Tang M, Pfeiffer RM, Björkholm M, Goldin LR, Blimark C, et al. Monoclonal gammopathy of undetermined significance and risk of infections: a population-based study. Haematologica. 2012; 97: 854-8.

Karlsson J, Andréasson B, Kondori N, Erman E, Riesbeck K, Hogevik H, et al. Comparative study of immune status to infectious agents in elderly patients with multiple myeloma, Waldenstrom’s macroglobulinemia, and monoclonal gammopathy of undetermined significance. Clin Vaccine Immunol. 2011; 18: 969-77.

Neumayr A, Kubitz R, Bode JG, Bilk P, Häussinger D. Multiple liver abscesses with isolation of Streptococcus intermedius related to a pyogenic dental infection in an immune-competent patient. Eur J Med Res. 2010; 15: 319-22.

Whiley RA, Fraser H, Hardie JM, Beighton D. Phenotypic differentiation of Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus strains within the “Streptococcus milleri group”. J Clin Microbiol. 1990; 28: 1497-501.

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Published

2016-12-31

How to Cite

García-Sánchez A, Mejía-Chew C, Ríos-Blanco JJ. Persistent fever. Don’t forget the liver!. Rev Esp Casos Clin Med Intern [Internet]. 2016 Dec. 31 [cited 2024 Jul. 3];1(1):25-6. Available from: https://www.reccmi.com/RECCMI/article/view/33

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Issue

Vol. 1 No. 1 (2016): Spanish Journal of Case Records in Internal Medicine

Section

CLINICAL CASES

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